Características de las caídas en el adulto mayor que vive en la comunidad

Background: Falls by older adults are a frequent problem among ambulatory patients in primary care. Aim: To describe the prevalence and features of falls among elders consulting to an ambulatory Geriatric Clinic. Patients and methods: Persons aged 60 years or more were surveyed about the number of f...

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Autores principales:	González C,Gisela, Marín L,Pedro Paulo, Pereira Z,Gloria
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2001
Materias:	Accidental falls Aged Aging Geriatrics
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000900007
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spelling	oai:scielo:S0034-988720010009000072005-11-24Características de las caídas en el adulto mayor que vive en la comunidadGonzález C,GiselaMarín L,Pedro PauloPereira Z,Gloria Accidental falls Aged Aging Geriatrics Background: Falls by older adults are a frequent problem among ambulatory patients in primary care. Aim: To describe the prevalence and features of falls among elders consulting to an ambulatory Geriatric Clinic. Patients and methods: Persons aged 60 years or more were surveyed about the number of falls in the preceding six months, the characteristics and consequences of each falls. Biopsychosocial characteristics were recorded and the Tinetti gait and balance test was performed in all patients reporting falls. Results: In 104 (18.2%) of 571 clinical consultations, one or more falls were reported. Among patients who fell and provided complete data (n=95), 64% reported one fall and 36% reported two or more, totaling 156 falls to analyze. The mean age of the patients with falls was 71.8±6.8 years. The functional and cognitive status was normal in 73 and 71.6% of cases respectively and 38% carried out periodical physical activity. Fifty seven percent of falls occurred outside of home, and an extrinsic factor was a precipitating cause in 55% of the falls. A post-fall syndrome appeared in 21% of cases and 2.6% resulted in fractures. Falling two or more times versus one time during the last six months was statistically associated with an age over 75, an absence of periodic physical activity, functional impairments, three or more chronic diseases, neurological diseases and with living alone, among other variables. Conclusions: Falls among elders occur mainly outside of home, in subjects older than 75 years old, functionally dependent and with an important involvement of extrinsic factors. Physical activity, as well as the control of environmental risks, could be protective factors against recurrent falls (Rev Méd Chile 201; 129: 1021-30).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.129 n.9 20012001-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000900007es10.4067/S0034-98872001000900007
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Accidental falls Aged Aging Geriatrics
spellingShingle	Accidental falls Aged Aging Geriatrics González C,Gisela Marín L,Pedro Paulo Pereira Z,Gloria Características de las caídas en el adulto mayor que vive en la comunidad
description	Background: Falls by older adults are a frequent problem among ambulatory patients in primary care. Aim: To describe the prevalence and features of falls among elders consulting to an ambulatory Geriatric Clinic. Patients and methods: Persons aged 60 years or more were surveyed about the number of falls in the preceding six months, the characteristics and consequences of each falls. Biopsychosocial characteristics were recorded and the Tinetti gait and balance test was performed in all patients reporting falls. Results: In 104 (18.2%) of 571 clinical consultations, one or more falls were reported. Among patients who fell and provided complete data (n=95), 64% reported one fall and 36% reported two or more, totaling 156 falls to analyze. The mean age of the patients with falls was 71.8±6.8 years. The functional and cognitive status was normal in 73 and 71.6% of cases respectively and 38% carried out periodical physical activity. Fifty seven percent of falls occurred outside of home, and an extrinsic factor was a precipitating cause in 55% of the falls. A post-fall syndrome appeared in 21% of cases and 2.6% resulted in fractures. Falling two or more times versus one time during the last six months was statistically associated with an age over 75, an absence of periodic physical activity, functional impairments, three or more chronic diseases, neurological diseases and with living alone, among other variables. Conclusions: Falls among elders occur mainly outside of home, in subjects older than 75 years old, functionally dependent and with an important involvement of extrinsic factors. Physical activity, as well as the control of environmental risks, could be protective factors against recurrent falls (Rev Méd Chile 201; 129: 1021-30).
author	González C,Gisela Marín L,Pedro Paulo Pereira Z,Gloria
author_facet	González C,Gisela Marín L,Pedro Paulo Pereira Z,Gloria
author_sort	González C,Gisela
title	Características de las caídas en el adulto mayor que vive en la comunidad
title_short	Características de las caídas en el adulto mayor que vive en la comunidad
title_full	Características de las caídas en el adulto mayor que vive en la comunidad
title_fullStr	Características de las caídas en el adulto mayor que vive en la comunidad
title_full_unstemmed	Características de las caídas en el adulto mayor que vive en la comunidad
title_sort	características de las caídas en el adulto mayor que vive en la comunidad
publisher	Sociedad Médica de Santiago
publishDate	2001
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000900007
work_keys_str_mv	AT gonzalezcgisela caracteristicasdelascaidaseneladultomayorqueviveenlacomunidad AT marinlpedropaulo caracteristicasdelascaidaseneladultomayorqueviveenlacomunidad AT pereirazgloria caracteristicasdelascaidaseneladultomayorqueviveenlacomunidad
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Características de las caídas en el adulto mayor que vive en la comunidad

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